Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

HOLLY SPRINGS EYECARE PLLC

NPI: 1093420671 · SENATOBIA, MS 38668 · Optometrist · NPI assigned 01/18/2023

$16K
Total Medicaid Paid
363
Total Claims
363
Beneficiaries
5
Codes Billed
2023-03
First Month
2024-08
Last Month

Provider Details

Authorized OfficialEDWARDS, STEPHEN (OWNER)
Parent OrganizationHOLLY SPRINGS EYECARE PLLC
NPI Enumeration Date01/18/2023

Related Entities

Other providers sharing the same authorized official: EDWARDS, STEPHEN

ProviderCityStateTotal Paid
HOLLY SPRINGS EYECARE PLLC HOLLY SPRINGS MS $730K
HOLLY SPRINGS EYECARE PLLC WATER VALLEY MS $410.50

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2023 248 $12K
2024 115 $4K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
92004 Ophthalmological services: medical examination and evaluation, comprehensive, new patient 80 80 $9K
V2020 Frames, purchases 87 87 $3K
92015 Determination of refractive state 108 108 $2K
92340 Fitting of spectacles, except for aphakia; monofocal 58 58 $2K
V2100 Sphere, single vision, plano to plus or minus 4.00, per lens 30 30 $1K